ROMAN POVOLOTSKIY MD
NPI 1225667355
Otolaryngology in Newark, NJ
About Roman Povolotskiy Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROMAN POVOLOTSKIY MD (NPI 1225667355) is an individual otolaryngology provider in Newark, New Jersey, licensed in New Jersey (25MA12473000) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Newark Beth Israel Medical Center, and maintains a secondary practice location in Mount Arlington.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Roman Povolotskiy Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Roman Povolotskiy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Marlton, NJ 08053
- Reassigned Medicare billing, New Jersey enrollment
- 909 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Newark Beth Israel Medical Center
Acute Care Hospitals · Newark, NJMorristown Medical Center
Acute Care Hospitals · Morristown, NJSaint Clare's Hospital/ Denville Campus
Acute Care Hospitals · Denville, NJHackettstown Medical Center
Acute Care Hospitals · Hackettstown, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWARK, NJ 07103
NEWARK, NJ 07103
NEWARK, NJ 07103
NEWARK, NJ 07103
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Roman Povolotskiy's NPI number?
The NPI number for Roman Povolotskiy is 1225667355. It was assigned to this individual provider in the NPPES registry on April 1, 2020.
Where is Roman Povolotskiy located?
Roman Povolotskiy practices at 90 Bergen St Ste 8100, Newark, NJ 07103. The listed phone number is (973) 972-2548.
What is Roman Povolotskiy's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Roman Povolotskiy enrolled in Medicare?
Yes. Roman Povolotskiy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Roman Povolotskiy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Roman Povolotskiy reassigns Medicare benefits to Advocare, LLC (Marlton, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roman Povolotskiy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Roman Povolotskiy accept?
Health plans from Oscar Health list Roman Povolotskiy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Roman Povolotskiy affiliated with any hospitals?
According to CMS data, Roman Povolotskiy is affiliated with Newark Beth Israel Medical Center, Morristown Medical Center, Saint Clare's Hospital/ Denville Campus and Hackettstown Medical Center.
When was this NPI record last updated?
The NPPES record for Roman Povolotskiy was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Roman Povolotskiy, MD · NPI 1225667355
Otolaryngology physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since April 1, 2020.
## Identity
- **NPI:** 1225667355 (Entity type: Individual)
- **Enumerated:** April 1, 2020
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** 25MA12473000 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 90 BERGEN ST STE 8100, Newark, NJ 07103-2425
- **Phone:** (973) 972-2548
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Advocare, LLC (NPI 1770538696, Marlton, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1225667355) · Data from the CMS NPPES public registry.